THE DEVEREUX FOUNDATION (NPI# 1942369277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942369277 |
Entity Type | Organization |
Organization Name | THE DEVEREUX FOUNDATION |
Practice Address |
1850 S Deleon Ave Titusville FL 32780-7733 |
Mailing Address |
5850 T.g. Lee Boulevard Suite 400 Orlando FL 32822 |
Practice Telephone | 4073742827 |
Mailing Telephone | 4078124555 |
Enumeration Date | 2006-12-06 |
Last Update Date | 2018-11-06 |
Authorized Official Name | GWEN SKINNER (VICE PRESIDENT OF OPERATIONS) |
Authorized Official Telephone | 4073629210 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 029573615 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760004568 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 407 Greentree Rd, Sewell, NJ 08080-9354 | 2020-05-14 |
1700425287 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 639 N South Turnpike Rd, Newfoundland, PA 18445-5032 | 2019-12-31 |
1346759867 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 233 Shaws Mill Rd, Cedarville, NJ 08311-2626 | 2017-09-27 |
1295261683 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 286 Mantua Grove Road, Building #4, West Deptford, NJ 08066 | 2017-05-04 |
1417482704 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 26 Aspen Hill, Deptford, NJ 08096 | 2017-04-25 |
1619402906 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 27 Aspen Hill, Deptford, NJ 08096 | 2017-04-25 |
1629503917 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 28 Aspen Hill, Deptford, NJ 08096 | 2017-04-25 |
1376078642 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 59 Boulevard, Elmwood Village Apartments, Elmwood Park, NJ 07407 | 2017-04-25 |
1730614017 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 48 Skyline Drive, Sparta, NJ 07871 | 2017-04-25 |
1326573601 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 103 Heritage Court, Pennington, NJ 08534 | 2017-04-25 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Washington State Corporations | THE DEVEREUX FOUNDATION | 444 Devereux Dr, Villanova, PA 19085 |
New York State Corporations | THE DEVEREUX FOUNDATION | 302 Washington Avenue Ext., Suite 3, Albany, New York 12203 |
Street Address |
1850 S DELEON AVE |
City | TITUSVILLE |
State | FL |
Zip Code | 32780-7733 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558960369 | Jataeva Janay Arnold | Counselor | 1850 S Deleon Ave, Titusville, FL 32780-7733 | 2020-10-22 |
1770137184 | Ashley Eckler Wilms | Counselor | 1850 S Deleon Ave, Titusville, FL 32780-7733 | 2019-07-25 |
1093231599 | Heather Ashley Rohaus | Counselor | 1850 S Deleon Ave, Titusville, FL 32780-7733 | 2017-08-16 |
1336582469 | Country Acres Ch | Psychiatric Residential Treatment Facility | 1850 S Deleon Ave, Titusville, FL 32780-7733 | 2013-04-08 |
1841530599 | Darryl D Nugent Jr. | Behavioral Analyst | 1850 S Deleon Ave, Titusville, FL 32780-7733 | 2013-02-17 |
1922348671 | Darin Lee Williams | Behavioral Analyst | 1850 S Deleon Ave, Titusville, FL 32780-7733 | 2013-02-17 |
1134468986 | Annette Stewart | Community Health Worker | 1850 S Deleon Ave, Titusville, FL 32780-7733 | 2013-02-13 |
1780922724 | Zsa Zsa Bratt | Community Health Worker | 1850 S Deleon Ave, Titusville, FL 32780-7733 | 2013-01-25 |
1174867238 | Leon Brown | Community Health Worker | 1850 S Deleon Ave, Titusville, FL 32780-7733 | 2012-11-15 |
1093068504 | Monell Phillips | Technician, Other | 1850 S Deleon Ave, Titusville, FL 32780-7733 | 2012-10-22 |
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1477033934 | Eye Doctors Optical Outlets, Pa | Optometrist | 2510 S Washington, Suite 140, Titusville, FL 32780 | 2018-08-15 |
1427566819 | Marlene Joyce Rosenzweig | Home Health | 1415 Thornton Avenue, Titusville, FL 32780 | 2018-01-19 |
1962913681 | Medfast Urgent Care Center, LLC | Clinic/Center | 1840 South Washington Ave, Titusville, FL 32780 | 2017-10-20 |
1982122586 | Annie Durand | Physical Therapist | 4352 Derbyshire Drive, Titusville, FL 32780 | 2017-09-03 |
1205352341 | Hearing Healthcare Solutions, Inc. | Hearing Instrument Specialist | 2625 Barna Ave, Suite J, Titusville, FL 32780 | 2017-08-21 |
1134663669 | Laura Starks | Behavior Technician | 1000 Tree Lane Apt H, Titusville, FL 32780 | 2016-12-19 |
1235500471 | Comfortable Care Dental Health Professionals, Pa | Dentist | 3135 Columbia Blvd, Suite 100, Titusville, FL 32780 | 2015-10-14 |
1174994412 | Amanda Howell | Counselor | 5280 Watermill Lane Apt 305, Titusville, FL 32780 | 2015-10-13 |
1609267939 | Bykota Acupuncture | Acupuncturist | 1007 South Washington Ave, Titusville, FL 32780 | 2015-02-09 |
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Taxonomy Code | 261QC1500X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Community Health |
Definition to come... |
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1730747163 | Advanced Community Mental Health Inc | Clinic/Center | 11093 Nw 138th St Unit 210, Hialeah Gardens, FL 33018-1192 | 2019-05-31 |
1578120440 | Impact Lives Consulting Group LLC | Clinic/Center | 11613 Sw 216th St, Miami, FL 33170-2933 | 2019-05-24 |
1609439140 | Behavioral Health & Wellness of South Florida | Clinic/Center | 11285 Sw 211th St # 202, Miami, FL 33189-2211 | 2019-04-19 |
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City | TITUSVILLE |
Zip Code | 32780 |
Please comment or provide details below to improve the information on THE DEVEREUX FOUNDATION.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.